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银杏叶提取物(EGb 761)治疗突发性聋的疗效和血液流变学:回顾性研究。

Efficacy and Hemorheology of Ginkgo biloba Extract (EGb 761) in the Treatment of Sudden Sensorineural Hearing Loss: A Retrospective Study.

机构信息

Department of Pharmacy, Wendeng Hospital of Traditional Chinese Orthopedics and Traumatology of Shandong Province, Weihai 264400, Shandong, China.

Department of Otolaryngology, Wendeng Hospital of Traditional Chinese Orthopedics and Traumatology of Shandong Province, Weihai 264400, Shandong, China.

出版信息

Noise Health. 2024;26(122):383-389. doi: 10.4103/nah.nah_73_24. Epub 2024 Sep 30.

Abstract

OBJECTIVE

This study aimed to analyze the therapeutic effect of Ginkgo biloba extract (EGb 761) on sudden sensorineural hearing loss (SSNHL) and its influence on hemorheology.

METHODS

The clinical data of patients diagnosed with SSNHL and admitted to the Wendeng Hospital of Traditional Chinese Orthopedics and Traumatology of Shandong Province from May 2020 to May 2023 were retrospectively analyzed. Based on different clinical treatment protocols, patients were divided into a control group (treated with routine treatment) and an administration group (treated with routine treatment + EGb 761). Both groups underwent drug treatment for 10 days. Subsequently, the hearing threshold, hemorheological parameters (blood high shear viscosity, blood low shear viscosity, plasma viscosity, and platelet aggregation rate) and inflammatory factors and serum levels (C-reactive protein, interleukin-6, tumor necrosis factor-α and soluble vascular cell adhesion molecule-1) of these groups were compared.

RESULTS

This study comprised 120 patients, with 66 cases in the control group and 54 cases in the administration group. Following treatment, the total effective rate of the administration group was significantly higher than that of the control group (90.74% vs. 72.73%) (P-value < 0.05). The hearing threshold, hemorheological parameters, inflammatory factors, and serum levels were significantly lower in the administration group than in the control group (P-value < 0.05).

CONCLUSIONS

Compared with routine treatment, joint EGb 761 in the SSNHL treatment may improve the hearing threshold and hemorheological indexes of patients, inhibit the inflammatory response, and promote the recovery of hearing function. Moreover, no serious adverse reactions are observed, indicating adequate safety.

摘要

目的

本研究旨在分析银杏叶提取物(EGb 761)治疗突发性聋(SSNHL)的疗效及其对血液流变学的影响。

方法

回顾性分析 2020 年 5 月至 2023 年 5 月山东省文登整骨医院收治的突发性聋患者的临床资料,根据不同的临床治疗方案将患者分为对照组(常规治疗)和治疗组(常规治疗+银杏叶提取物)。两组均接受 10 天的药物治疗。比较两组患者的听力阈值、血液流变学参数(血液高切黏度、血液低切黏度、血浆黏度和血小板聚集率)、炎症因子和血清水平(C 反应蛋白、白细胞介素-6、肿瘤坏死因子-α和可溶性血管细胞黏附分子-1)。

结果

本研究共纳入 120 例患者,对照组 66 例,治疗组 54 例。治疗后,治疗组的总有效率明显高于对照组(90.74% vs. 72.73%)(P 值<0.05)。治疗组的听力阈值、血液流变学参数、炎症因子和血清水平均明显低于对照组(P 值<0.05)。

结论

与常规治疗相比,银杏叶提取物联合治疗突发性聋可改善患者的听力阈值和血液流变学指标,抑制炎症反应,促进听力功能恢复,且未观察到严重不良反应,安全性较好。

相似文献

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EGb 761: ginkgo biloba extract, Ginkor.EGb 761:银杏叶提取物,金纳多。
Drugs R D. 2003;4(3):188-93. doi: 10.2165/00126839-200304030-00009.

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